Strategy to control hospital associated infection for cardiac surgery hospitals in Iraq

Study was conducted at cardiac surgery hospitals in order to construct a strategy for controlling hospital- associated infection. A purposive sample of [55]intensive care unit staff nurse were selected, and microbiological cultures of the CVC and urinary catheters were collected for [62] patients who undergoing open heart surgery in order to evaluate the impact of the nurses practices. The study concluded that the nurses act inadequately regarding to hand washing, daily care of the CVC line and folly's catheter in addition to poor maintenance for the suction and oxygen supply equipment

Surgery in congenital heart disease

One hundred consecutive patients of operated on congenital heart diseases [C.H.D.] were studied in the Thoracic and Cardiovascular Surgery Unit in the Medical City Teaching Hospital. The commonest lesion was patent ductus arteriosus [P.D.A] [24%], atrial septal defect [A S.D.] [20%], and tetralogy of Fallot [T.O.F.] [17%]. Patients with P.D.A and coarctation of aorta [C.O.A] 31% had surgery through left thoracotomy without extracorporeal circulation and the rest [69%] had open heart surgery, with an overall mortality of 6%

Total anomalous pulmonary venous drainage to the inferior vena cava - a case report

A 24 year old male was diagnosed to have secundum atrial septal defect with mitral valve prolapse. During surgery the inferior vena cava [IVC] was found to be hugely dilated and all four pulmonary veins draining individually into the IVC. There was no common pulmonary vein. This pattern of total anomalous pulmonary venous drainage has not to our knowledge, been reported before. The late and rather benign presentation, and the associated mitral valve prolapse were also unusual. An important lesson to be emphasized is to check that all 4 pulmonary veins are draining into the left atrium before an ASD is closed